Kaigo Fukushishi 介護福祉士

Exam 37 · 第37回 · 認知症の理解 (Understanding Dementia)

Question 44 問44

次つぎのうち，全般的ぜんぱんてきな認知機能にんちきのうを評価ひょうかする尺度しゃくどであり，30点満点てんまんてんで20点以てんい下かを認知症にんちしょうの目安めやすとするものとして，正ただしいものを1つ選えらびなさい。

  1. バーセルインデックス（Barthel Index）
  2. 改訂長谷川式認知症かいていはせがわしきにんちしょうスケール（HDS-R）
  3. ＦＡＳＴ（Functional Assessment Staging）
  4. 認知症高齢者にんちしょうこうれいしゃの日常生活自立度判定基準にちじょうせいかつじりつどはんていきじゅん
  5. 臨床的認知症尺度りんしょうてきにんちしょうしゃくど（ＣＤＲ：Clinical Dementia Rating）

Translation

Which of the following is a scale that checks overall cognitive function (認知機能), where a score of 20 or below (out of 30) is used as a guide for dementia (認知症)? Choose the correct one.

  1. Barthel Index (バーセルインデックス)
  2. HDS-R (改訂長谷川式認知症スケール)
  3. FAST (Functional Assessment Staging)
  4. Criteria for independence in daily living for elderly people with dementia (認知症高齢者の日常生活自立度判定基準)
  5. CDR (Clinical Dementia Rating) (臨床的認知症尺度)
Show answer and explanation

Answer: 2

Why 2 is correct

HDS-R (改訂長谷川式認知症スケール) is a test with 9 questions that ask about age, date, calculation, memory, and more, to check overall cognitive function (認知機能). It is scored out of 30, and a score of 20 or below is used as a guide that dementia (認知症) may be present.

Why 1 is wrong

Barthel Index (バーセルインデックス) is a scale that checks ADL (activities of daily living) such as eating, moving, and toileting. It is not a test of cognitive function (認知機能).

Why 3 is wrong

FAST divides how far dementia of the Alzheimer's type (アルツハイマー型認知症) has progressed into 7 stages, based on how the person lives day to day. It does not give a score.

Why 4 is wrong

The criteria for independence in daily living for elderly people with dementia (認知症高齢者の日常生活自立度判定基準) show how much care is needed, using ranks (from I to M). It is not scored with points.

Why 5 is wrong

CDR shows how severe the condition is, in 5 stages (0, 0.5, 1, 2, 3), based on memory and judgment, among other things. It is not scored out of 30.

Key point

The HDS-R (長谷川式) is scored out of 30, and 20 points or below is a guide to dementia.

Key terms

認知機能にんちきのう
All the brain's abilities, such as memory, calculation, and orientation (見当識).
改訂長谷川式認知症スケールかいていはせがわしきにんちしょうスケール
A test with 9 questions, scored out of 30, used to check cognitive function (認知機能).
日常生活自立度にちじょうせいかつじりつど
A category that shows how much a person can manage daily life on their own.
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Exams 36–38, all 13 subjects, with furigana and an English explanation of every choice. The subject 「認知症の理解」 is free.

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